Description of the features of Axiomedics' PUMA, which helps insurers see how providers in their network perform relative to other providers, with case-mix adjustments to account for patient and case-load differences.

1. Helping you make sense of your data to manage your business.

2. RESEARCH INC.
Data Analysis
Expertise in blending
multiple, large datasets for
statistical analyses, regressions
and
cost modeling
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
CONSULTING SERVICES
Data Cleansing
Custom Analyses &
Data Reports
Service Assessments
Problem Identification
Industry Comparisons
(since 1994)
Clinical Expertise
Medical expertise in injury/claim
interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,
Insurance administration and
Provider management
SOFTWARE SERVICES
PUMA – Provider
Evaluations
CATT – Predictive
Claim Triage
DYANI – Diagnosis
Groupings
(since 2008)

3. Data Analysis
Expertise in blending multiple,
large datasets for statistical
analyses, regressions and
cost modeling
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
CONSULTING SERVICES
Data Cleansing
Custom Analyses &
Data Reports
Service Assessments
Problem Identification
Industry Comparisons
Large dataset
analyses
Clinical Expertise
Medical expertise in injury/claim
interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,
Insurance administration and
Provider management
SOFTWARE SERVICES
PUMA – Provider
Evaluations
CATT – Predictive
Claim Triage
DYANI – Diagnosis
Groupings

4. Data Analysis
Expertise in blending
multiple, large datasets for
statistical analyses, regressions
and
cost modeling
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
CONSULTING SERVICES
Data Cleansing
Custom Analyses &
Data Reports
Service Assessments
Problem Identification
Industry Comparisons
Large dataset
analyses
Claims, Bills,
& Benefit Law
Clinical Expertise
Medical expertise in injury/claim
interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,
Insurance administration and
Provider management
SOFTWARE SERVICES
PUMA – Provider
Evaluations
CATT – Predictive
Claim Triage
DYANI – Diagnosis
Groupings

5. Data Analysis
Expertise in blending multiple,
large datasets for statistical
analyses, regressions and
cost modeling
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
CONSULTING SERVICES
Data Cleansing
Custom Analyses &
Data Reports
Service Assessments
Problem Identification
Industry Comparisons
Large dataset
analyses
Claims, Bills,
& Benefit Law
Clinical Expertise
Medical expertise in injury/claim
interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,
Insurance administration and
Provider management
SOFTWARE SERVICES
PUMA – Provider
Evaluations
CATT – Predictive
Claim Triage
DYANI – Diagnosis
Groupings
Medical
Network
Management

6. Data Analysis
Expertise in blending multiple,
large datasets for statistical
analyses, regressions and
cost modeling
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
CONSULTING SERVICES
Data Cleansing
Custom Analyses &
Data Reports
Service Assessments
Problem Identification
Industry Comparisons
Large dataset
analyses
Claims, Bills,
& Benefit Law
Clinical Expertise
Medical expertise in injury/claim
interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,
Insurance administration and
Provider management
SOFTWARE SERVICES
PUMA – Provider
Evaluations
CATT – Predictive
Claim Triage
DYANI – Diagnosis
Groupings
Medical
Network
Management
Economies,
Efficiency &
Costs

7. Data Analysis
Expertise in blending multiple,
large datasets for statistical
analyses, regressions and
cost modeling
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
CONSULTING SERVICES
Data Cleansing
Custom Analyses &
Data Reports
Service Assessments
Problem Identification
Industry Comparisons
(since 1994)
Axiomedics’
maximize
Mission
Clinical Expertise
Medical expertise in injury/claim
interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,
Insurance administration and
Provider management
SOFTWARE SERVICES
PUMA – Provider
Evaluations
CATT – Predictive
Claim Triage
DYANI – Diagnosis
Groupings
(since 2008)
Prospectively helping workers’ compensation companies
the clinical and economic effectiveness of their resources.

8. Dr. Gardner’s decades of medical industry and Workers’ Comp
experience, combined with advanced statistical analytical expertise, are
embedded in both Axiomedics’ consulting and software services.
Analytical
Accuracy
Complexity
Reduction
Provider
Performance
Clarity
Treatment Cost
Comparisons
Workers’ Comp
Consulting
DYANI
Diagnostic
Grouper™ &
PUMA™
(Provider
Utilization &
CATT™
(Predictive
Claim Triage)
Predominant
Provider Finder
Management
Assessment)
(Research, models,
evaluation and
benchmarking)

9. Dr. Gardner’s decades of medical industry and Workers’ Comp
experience, combined with advanced statistical analytical expertise, are
embedded in both Axiomedics’ consulting and software services.
Analytical
Accuracy
Complexity
Reduction
Workers’ Comp
Consulting
DYANI
Diagnostic
Grouper™ &
Utilization &
Predominant
Provider Finder
Management
Assessment)
(Research, models,
evaluation and
benchmarking)
Treatment Cost
Comparisons
PUMA™
(Provider
CATT™
(Predictive
Claim Triage)

10. The Power of PUMA
Strategic Features
Clarity into provider performance
 Provides meaningful evaluations
 Enables you to guide customers
towards the top medical performers

Technology Features
Uses Dyani
for case-mix
adjustment and
“apples-to-apples”
comparisons
Determines
“Predominant
Provider” and
“DxCat” unique
diagnosis
category
Provides
users with
custom drill
down and
reporting
flexibility
BETTER
BETTER
MANAGEMENT
MANAGEMENT
OF PROVIDER
OF PROVIDER
NETWORKS
NETWORKS

11. The Power of PUMA
Enhanced Clinical Outcomes
Enables client referrals to top
medical performers in specific fields
 Prioritizes effective medical care
 Access up-to-date reports

Benefits to your business
Build, evaluate
and manage your
provider networks
with enhanced
insight and
assurance
Get early
detection of
network quality
improvement
opportunities
Provide
feedback on
performance
with robust,
defensible
measures
BETTER
QUALITY
OF CARE

12. The Power of PUMA
Dyani Diagnosis
Grouper
Axiomedics’ proprietary
Algorithms & Datasets
Consolidates over 15,000
ICD-9 codes into 500
diagnosis categories (DxCat)
Predominant
Provider
Identified
For each claim
Case-Mix
Adjustment
Analysis that “levels the
case load playing field.”
Client Provides Data
Basic Data Cleansing
Customer
Proprietary
Data
PUMA’s REPORTS
Clients can customize
unlimited reports
PUMA Analytics
De-Identified
Multi-Payer
Database
(Clients may
“opt-in” for
industry
benchmark
Analyses)
Comparison of actual to predicted costs and TD days
Measures of case load severity
Assess compliance with access standards
Rankings generated with an array of descriptive data
Pre-Programmed or
User Generated
Reports
Sort and Search
any Measure by
any Dimension
Drill down to
Claim or Bill
Level Details
Axiomedics’
Benchmarking
Research and
Consulting

13. The Power of PUMA
Dyani Diagnosis
Grouper
Consolidates over 15,000
ICD-9 codes into 500
diagnosis categories (DxCat)
Predominant
Provider
Identified
For each claim
Case-Mix
Adjustment
Analysis that “levels the
case load playing field.”
Client Provides Data
Ready for PUMA
Customer
Proprietary
Data
PUMA’s REPORTS
Clients can customize
unlimited reports
PUMA Analytics
De-Identified
Multi-Payer
Database
(Clients may
“opt-in” for
industry
benchmark
Analyses)
Comparison of actual to predicted costs and TD days
Measures of case load severity
Assess compliance with access standards
Rankings generated with an array of descriptive data
Pre-Programmed or
User Generated
Reports
Sort and Search
any Measure by
any Dimension
Drill down to
Claim or Bill
Level Details
Axiomedics’
Benchmarking
Research and
Consulting

14. The Power of PUMA
Dyani Diagnosis
Grouper
Axiomedics’ proprietary
Algorithms & Datasets
Consolidates over 15,000
ICD-9 codes into 500
diagnosis categories (DxCat)
Predominant
Provider
Identified
For each claim
Case-Mix
Adjustment
Analysis that “levels the
case load playing field.”
Client Provides Data
Ready for PUMA
Customer
Proprietary
Data
PUMA Analytics
De-Identified
Multi-Payer
Database
(Clients may
“opt-in” for
industry
benchmark
Analyses)
Comparison of actual to predicted costs and TD days
Measures of case load severity
Assess compliance with access standards
Rankings generated with an array of descriptive data
Pre-Programmed or
User Generated
Reports
Sort and Search
any Measure by
any Dimension
Drill down to
Claim or Bill
Level Details
Axiomedics’
Benchmarking
Research and
Consulting

15. The Power of PUMA
HR
IT
LEGAL
SALES
MEDICAL
SERVICE
MARKETING
PUMA
FINANCIAL
Customize provider reports
to meet the needs of
all your teams